There will certainly be a percentage of people who think to themselves, “Why would I want to make my booty bigger?!” However, larger backsides are now considered beautiful which is a shift in what Americans have traditionally considered attractive. Celebrities like Kim Kardashian, Iggy Azalea and Jennifer Lopez have helped popularize the larger derriere and the number of people seeking surgical solutions to augment their buttocks is growing.
Besides exercises like squats and excluding black market, dangerous and highly illegal silicone injections, there are really only two effective ways to augment the buttock – a fat transfer or buttock implants. A fat transfer involves using liposuction to harvest fat from one or multiple areas of the body, processing the fat and then injecting it back into the buttocks. I am often asked if they can accept fat from a completely selfless J relative or friend willing to give away their hard-earned, stored energy for the process. It’s a good thought, but unfortunately, this would not be safe for several reasons. However, the most important reason for not borrowing fat from a friend is your immune system would see the transferred fat as foreign and destroy the fat immediately. Sorry, but you have to use your own.
Where we harvest the fat on the body is different from person to person. Liposuction can be performed in nearly any part of the body where a reasonable amount of fat exists, from the chin to the knees and nearly every part in between. To help shape the butt, I almost always include liposuction of the love handles in the procedure. Other common areas for liposuction include the abdomen, upper back, and thighs. In thinner individuals, I will take fat from multiple locations in order to achieve the change desired. The overall goal is creating a narrow waist, a round, shapely buttock, and overall sexier figure.
The second option for gluteal augmentation is buttock implants. When a person does not have enough fat to create the change desired, buttock implants become the only choice. However, buttock implants are less commonly used due to the high percentage of implant malposition, wound dehiscence (the surgical incision opening up), and unfavorable scarring. Any implant placed in the body can move into a less desirable position over time. Butt implants have to sustain the pressure of constant sitting and as a result, are at especially high risk for shifting and other complications. Because of this, butt implants are only used as the last option in reasonable people with the finances to undergo revision surgery should it necessary and even then, only after a long discussion regarding all the risks and all potential consequences.